COG_Sub_W9_.pdf
PDF 170 KB Posted
- Attached to
- 2026 Pavement Preservation- Surface Treatments
- Solicitation number
- IFB #26056
- Issued by
- Greenville County, South Carolina
About this file
This is a Substitute Form W-9 document issued by Greenville County, South Carolina, required for contractor registration and tax identification purposes in connection with the 2026 Pavement Preservation Project. The form requests the legal name, DBA/trade name, taxpayer identification number (either SSN or EIN/FIN), legal address, entity tax classification, and service type provided by the bidding contractor. Contractors must select their entity classification from options including individual/sole proprietorship, partnership, LLC variants, corporation types, trust/estate, or other designations, and must specify the service category such as medical/veterinarian services, legal services, rental of real property, or products/services. The form also collects payment remittance information including a separate mailing address if different from the legal address, contact name, telephone, fax, and email for the contractor.
The document serves as the county's substitute for the IRS Form W-9 and explicitly states that the federal IRS Form W-9 will not be accepted in lieu of this form. The contractor must certify under penalties of perjury that the taxpayer identification number provided is correct, that they are not subject to backup withholding (or have received notification of exemption status from the IRS), and that they are a U.S. citizen or other U.S. person. The form notes that failure to provide the required taxpayer identification in a timely manner could prevent or delay payment from the county. The document was revised in October 2022 and must be completed and signed by the bidder before payment authorization can be processed.
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Text version
COUNTY OF GREENVILLE SUBSTITUTE FORM W-9
(IRS Form W-9 will not be accepted in lieu of this form) Revised October 2022
Legal Name (as shown on tax return) DBA/Trade Name
Taxpayer Identification Type TIN (Must match legal name)
__ SSN __ EIN/FIN ________________________
Legal Address (number, street & apt. or suite no.) City, State & Zip code
Entity Tax Classification (Choose only one) Service Provided (Must select a type)
__ Individual/Sole Proprietorship or Single-member LLC __ Medical or Veterinarian service
__ Partnership __ LLC-Partnership __ Legal /Attorney Service
__ C Corporation __ LLC - C- Corp __ Rental of Real Property
__ S Corporation __ LLC- S - Corp __ Products / Services type _____________
__ Other __ Trust /Estate ________________________________
_______________________________________ __ Other (Specify) _____________________
The U.S. Taxpayer Identification Number is being requested per U.S. tax law. Failure to provide in a timely manner could prevent or delay payment.
Payment Remittance Information
Address (number, street & apt. or suite no.) City, State & Zip code
Contact Name Telephone #
Fax # E-mail
Under penalties of perjury, I certify that: 1) The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me);and
2) I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and
3) I am a U.S. citizen or other U.S. person.
Sign Here Date
| Legal Name as shown on tax return: |
| DBATrade Name: |
| TIN Must match legal name: |
| Legal Address number street apt or suite no: |
| City State Zip code: |
| undefined: |
| Products Services type: |
| Other: |
| Other Specify: |
| Address number street apt or suite no: |
| City State Zip code_2: |
| Contact Name: |
| Telephone: |
| Fax: |
| Email: |
| Sign Here: |
| Date: |
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File details come from the government source that posted it. Updated .